Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kevin Nickerson, MD

Individual provider Family Medicine Physician · NPI 1871277970

Kevin Nickerson, MD is a Family Medicine Physician in Girard, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5165 Imperial Pkwy
Girard, PA 16417-9524
Phone: (814) 774-3128
Fax: (814) 774-0915
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD497149 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871277970
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026

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