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

Mrs. Kelly M Williams, MD

Individual provider Internal Medicine Physician · NPI 1679718415

Mrs. Kelly M Williams, MD is a Dermatology in Burnsville, Minnesota. Qualified in 2008, 18 years ago. Practices with Lakes Dermatology PA, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, Minnesota and Ohio.

Years since qualifying
18
Licensed in
CO, MN, OH
In the registry since
2008
Specialties on file
3
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

14305 Southcross Dr W Ste 110
Burnsville, MN 55306-7011
Phone: (651) 340-1064
Fax: (651) 330-0429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1140 Edwards Village Blvd S-B200, Edwards, CO 81632-2736 — (970) 926-9226

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 79617 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 57.015265 (OH)
Dermatology Physician Taxonomy 207N00000X · Licence DR0052504 (CO)

Record details

NPI number1679718415
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 9, 2008
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Lakes Dermatology Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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