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Kevin Nickerson, MD
Student in an Organized Health Care Education/Training Program in Erie, Pennsylvania
NPI 1871277970

Kevin Nickerson is a Student in an Organized Health Care Education/Training Program based in Erie, PA. Kevin Nickerson practices in Erie, PA and has the professional credentials of MD. The NPI Number for Kevin Nickerson is 1871277970 and holds a License No. (Pennsylvania).

The current practice location address for Kevin Nickerson is 232 W 25Th St, Erie, PA and can be reached out via phone at 814-452-5000.

Location: 232 W 25Th St, Erie, PA, 16544-0002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871277970
Provider Name
Kevin Nickerson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
232 W 25Th St, Erie, PA, 16544-0002
Phone Number
814-452-5000
Fax Number
Provider Enumeration Date
06/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
232 W 25Th St
City
Erie
State
Pennsylvania
Zip
16544-0002
Phone Number
814-452-5000
Fax Number
person
Provider Business Mailing Address Details
Address
232 W 25Th St
City
Erie
State
Pennsylvania
Zip
16544-0002
Phone Number
814-452-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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