Kelly M. Williams, M.D.
Dermatology Physician · Burnsville, MN
Kelly M. Williams, M.D. is a dermatology physician with a practice address in Burnsville, Minnesota, and NPI 1679718415, issued on Dec 9, 2008. Check the license (Minnesota 79617, as entered in NPPES) on the Minnesota Board of Medical Practice; the Medicare figures below come from public CMS files.
- Name
- Kelly M. Williams
- Credential
- M.D.
- Primary taxonomy
- Dermatology Physician 207N00000X
- License numbers
- 79617 MN
DR0052504 CO
57.015265 OH
Self-reported in NPPES; status is on the state search - Practice location
- 14305 Southcross Dr W Ste 110, Burnsville, MN 55306
- Phone
- (651) 340-1064
- Enumerated
- Dec 9, 2008
- Record last updated
- Oct 30, 2025
- Fax
- (651) 330-0429
- Medicare enrollment
- Enrolled (PECOS I20250827003205); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest dermatology physician records → All 327 in Minnesota → Look up another NPI →
Also registered at 14305 Southcross Dr W Ste 110
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Elizabeth Boyum, PAPhysician Assistant1750320487
- Nicole Gunasekera, MD, MBADermatology Physician1457889909
- Lydia Luu, MDMOHS-Micrographic Surgery Physician1285262170
- Libby Ratner, PAPhysician Assistant1952931792
Verify Kelly M. Williams in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMinnesota Board of Medical Practice
Search for license 79617Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Lakes Dermatology PABurnsville, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly M. Williams among 327 dermatology physician records in Minnesota
Kelly M. Williams, M.D. is one of 327 dermatology physician records with a practice address in Minnesota. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 44% of them.
- NPI issued2008 · 44% of these records are older, 51% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 82% of these records are
- Graduated2008 · median 2010 among the 269 with a school on file
- Record last updated2025 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207N00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Dermatology Physician providers in Minnesota
There are 327 dermatology physician records in Minnesota.
All 327 in Minnesota → Every provider in Burnsville → Dermatology Physician nationwide →
The 8 dermatology physician records with the nearest ZIP codes
- Rehana Ahmed-Saucedo, M.D., PH.D.Burnsville, MN 553061427243898
- Nicole Gunasekera, MD, MBABurnsville, MN 553061457889909
- Kathryn Gehrig, MDMinnetonka, MN 553051417121088
- Nancy Leitch, M.D.Minnetonka, MN 553051437215613
- Louis RusinMinnetonka, MN 553051881670651
- Cynthia Schlick, MDChanhassen, MN 553171376529990
- William Miller, M.D.Chaska, MN 553181326483215
- Kelly Aschenbeck, MDExcelsior, MN 553311023505443
Common questions
What is Kelly M. Williams, M.D.'s NPI number?
Kelly M. Williams, M.D.'s National Provider Identifier (NPI) is 1679718415, issued on Dec 9, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Kelly M. Williams, M.D. located?
The NPPES record lists a practice address at 14305 Southcross Dr W Ste 110, Burnsville, MN, 55306. Phone: (651) 340-1064. Providers update this record themselves, so call before visiting.
How can I verify Kelly M. Williams, M.D.'s license?
NPPES lists Minnesota license number 79617, as entered by the provider. Search the Minnesota Board of Medical Practice at https://mn.gov/boards/medical-practice/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.