Kelly M Williams, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

79617 Issued in MN

Practice address

14305 Southcross Dr W Ste 110
Burnsville, MN 55306-7011

Phone

(651) 340-1064

Fax

(651) 330-0429

NPI assigned

Dec 9, 2008

Last updated

Oct 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Ms. Kelly M Morrissey Former name

Medicare fee-for-service enrollment

Enrolled in CO, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakes Dermatology PAGroup PAC ID 3375843089, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakes Dermatology, PA

  • Dermatology Physician
  • Burnsville, MN
  • NPI 1962871608
  Medicare reassignment Care Compare group NPD
• Colorado Skin Surgery and Dermatology, LLC

  • MOHS-Micrographic Surgery Physician
  • Centennial, CO
  • NPI 1972972594
  Medicare reassignment NPD
• Francis Skin Surgery and Dermatology LLC

  • MOHS-Micrographic Surgery Physician
  • Centennial, CO
  • NPI 1780019158
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1679718415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14305 SOUTHCROSS DR W STE 110",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553067011",
            "telephone_number": "651-340-1064",
            "fax_number": "651-330-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14305 SOUTHCROSS DR W STE 110",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553067011",
            "telephone_number": "651-340-1064",
            "fax_number": "651-330-0429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Edwards Village Blvd S-B200",
            "address_purpose": "LOCATION",
            "city": "Edwards",
            "state": "CO",
            "postal_code": "816322736",
            "country_code": "US",
            "telephone_number": "970-926-9226",
            "fax_number": "970-926-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "79617",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR0052504",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.015265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MORRISSEY",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anya Williams
• Claire Marie Williams, MD, MPH
• Claudina Leandre Williams
• Jena Williams, RDN
• Joan Margaret Williams, MD
• Nyla I Williams
• Kelsey Williamson, LPCC
• Esther Brewer Willie
• Anthony Michael Willier
• Jeffrey Jon Willis, D.O.

• Dermatology Physician in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.