Individual provider · Type 1 NPI

Annelies Hickerson, MD

Surgery Physician · Fort Campbell, KY

NPI number 1629469473 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Call (270) 412-6594 Map

Mailing address

3551 Roger Brooke Drive, Mche/me
Jbsa Fort Sam Houston, TX 78234

Other practice locations

  • 520 S Eagle Rd Ste 1241, Meridian, ID 83642-6355 · (208) 381-6930

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X0101262158 (VA)
Surgery Physician 208600000X5771767 (ID)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1629469473

Annelies Hickerson, MD's National Provider Identifier is 1629469473, issued on Feb 16, 2015. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fort Campbell, KY. The record was last updated on Aug 21, 2025.