Individual provider · Type 1 NPI

Kevin Nickerson, MD

Family Medicine Physician · Girard, PA

NPI number 1871277970 Active

Practice location

5165 Imperial Pkwy
Girard, PA 16417-9524

Call (814) 774-3128 Map

Fax (814) 774-0915

Mailing address

2314 Sassafras Street, 2nd Floor
Erie, PA 16502-2721

Other practice locations

232 W 25th St, Erie, PA 16544-0002 · (814) 452-5000

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	MD497149 (PA)
Student in an Organized Health Care Education/Training Program	390200000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

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About NPI 1871277970

Kevin Nickerson, MD's National Provider Identifier is 1871277970, issued on Jun 12, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Girard, PA. The record was last updated on Aug 31, 2026.