Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kia Lilly, MD

Individual provider Dermatology Physician · NPI 1922293406

Dr. Kia Lilly, MD is a Dermatology in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2004, 22 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

420 Delaware St SE
Minneapolis, MN 55455-0341
Phone: (612) 624-9964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 48169 (MN)

Record details

NPI number1922293406
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 7, 2007
Last updated in NPPESSeptember 7, 2007
Mailing address420 Delaware St Se, Minneapolis, MN 55455-0341

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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