Physicians
Kirk Agerson
A native of Michigan, Dr. Agerson graduated from the University of Michigan in both undergraduate and medical schools, continuing his medical education with a residency in Family Medicine in South Carolina. Dr. Agerson was certified by the American Board of Family Medicine in 1980 and re-certified in 1986, 1993, and 1999. Dr. Agerson is an Associate Professor of Clinical Medicine at MSU. He has been in practice in Grand Rapids since 1980. He and his wife, Cathy, have two children, Ashley and Sean.
Physicians Assistants
Nicole Earl
Nikki Earl joins us with over 14 years of experience as a PA in both private practice and large healthcare system settings. She received her undergraduate degree in Biology at Aquinas College and her Masters of Physician Assistant Studies at the University of Detroit Mercy. She worked at a rural practice in Addison, MI and more recently in family practice at Metro Health University of Michigan Health for the last 12 years. She is looking forward to continuing her medical career at here A+ Family Medicine and pursuing her passion of providing quality care. She lives in Grand Rapids with her husband and 3 children.
Ashley Huggler
A native of Michigan, Ashley graduated from Grand Valley State University in 2011 with a Bachelor of Health Science and Masters in Physician Assistant Studies. Ashley’s previous experience includes two years experience in Family Practice, Urgent Care at Spectrum Health and Physical Medicine and Rehabilitation at Mary Free Bed .
Gayle Keider, PA
A native of Michigan, Gayle graduated from Grand Valley State University in 2008 with a Bachelor of Health Science and Masters in Physician Assistant Studies. She practiced Internal Medicine in Troy, MI for five years before joining A F Associates Family Medicine.

Our Office
A+ Family Medicine
2849 Michigan N.E.
Grand Rapids, MI 49506