MRS. KELLY M WILLIAMS (NPI# 1679718415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679718415 |
| Entity Type | Individual |
| Full Name | MRS. KELLY M WILLIAMS |
| Other Name | MS. KELLY M MORRISSEY |
| Credential | M.D. |
| Practice Address |
1140 Edwards Village Blvd S-b200 Edwards CO 81632-2736 |
| Mailing Address |
377 Sylvan Lake Rd Ste 210 Eagle CO 81631-6779 |
| Practice Telephone | 9709269226 |
| Practice Fax Number | 9709268755 |
| Mailing Telephone | 9709269226 |
| Mailing Fax Number | 9709268755 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | DR0052504 | CO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 57.015265 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508323528 | Kelly Mikel Williams | Technician | 1003 Anderson Pl Se, Washington, DC 20032-4405 | 2019-02-26 |
| 1093178493 | Kelly Williams | Counselor | 1105 Cedar Crest Dr, Minden, NV 89423-5168 | 2016-04-01 |
| 1174936868 | Kelly Williams | Behavioral Analyst | 4001 Glenarm Ave, Baltimore, MD 21206-2527 | 2014-06-10 |
| 1689097446 | Kelly Williams | Registered Nurse | 18889 Saint Aubin St, Detroit, MI 48234-1220 | 2014-01-30 |
| 1588905970 | Kelly D Williams | Nurse Practitioner | 560 Queens Court Pl, Saint Peters, MO 63376-7349 | 2013-03-08 |
| 1750632204 | Kelly B Williams | Physical Therapy Assistant | 1127 Knight Dr, Columbus, GA 31906-2731 | 2012-09-24 |
| 1518241462 | Kelly Ann Williams | Pharmacist | 301 S. Sante Fe Avenue, Edmond, OK 73003 | 2011-10-10 |
| 1801190210 | Kelly Anne Williams | Health Educator | 9613 Sudley Manor Dr, Manassas, VA 20109-3345 | 2010-12-28 |
| 1235463621 | Kelly Williams | Counselor | 89 Access Rd Ste A2, Norwood, MA 02062-5229 | 2009-10-01 |
| 1487889465 | Kelly Marie Williams | Hearing Instrument Specialist | 165 E. Rowland Street, Covina, CA 91723-3049 | 2009-05-20 |
| Street Address |
1140 EDWARDS VILLAGE BLVD S-B200 |
| City | EDWARDS |
| State | CO |
| Zip Code | 81632-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
| 1700430535 | Luke Cobb | Chiropractor | 128 Main St #c6, Edwards, CO 81632 | 2019-07-30 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1073092037 | Ryan G Zastrow, Dds, Pllc | Dentist | 275 Main St Unit O 203, Edwards, CO 81632 | 2018-08-10 |
| 1093216046 | Mauricio Cadavid | Massage Therapist | Vimg, 105 Edwards Village Center A-203, Edwards, CO 81632 | 2018-02-26 |
| 1083113765 | Mountain Valley Kids Dental, Pllc | Dentist | 105 Edwards Village Blvd., #d-202, Po Box 41, Edwards, CO 81632 | 2018-02-07 |
| 1760903447 | Bryan Diekmann | Specialist/Technologist | 1140 Edwards Village Blvd. Ste 105, Edwards, CO 81632 | 2017-07-03 |
| 1457702409 | Anesthesia Partners of Colorado | Anesthesiology | 230 Foal Circle, Edwards, CO 81632 | 2016-06-30 |
| 1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
| 1992107171 | Sara Bentley | Physical Therapist | 105 Edwards Village Center, Suite A203, Edwards, CO 81632 | 2014-09-19 |
| Find all providers in zip 81632 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790053213 | Mountain Dermatology Specialists, PC | Dermatology | 105 Edwards Village Boulevard, Suite G211, Edwards, CO 81632-3211 | 2011-12-12 |
| 1255774329 | Dorothy Winslow Blankenship | Dermatology | 1140 Edwards Village Blvd, Edwards, CO 81632 | 2013-04-09 |
| 1982947891 | Lauren M. Bonati | Dermatology | 105 Edwards Village Boulevard, G211, Edwards, CO 81632-3211 | 2013-03-28 |
| 1285835603 | Halliday Craige Mcdonald | Dermatology | 1140 Edwards Village Blvd, Suite 200, Edwards, CO 81632 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685894 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 1332 Bauer Ln, Canon City, CO 81212-4669 | 2020-10-02 |
| 1891392973 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 2060 Briargate Pkwy Ste 150, Colorado Springs, CO 80920-7660 | 2020-10-02 |
| 1033723465 | Inspired Dermatology, Pllc | Dermatology | 6050 Greenwood Plaza Blvd Ste 130, Greenwood Village, CO 80111-4823 | 2020-09-02 |
| 1700496668 | Sorkin Dermatology Associates Professional LLC | Dermatology | 1960 N. Ogden Street, Suite 555, Denver, CO 80218-3602 | 2020-08-05 |
| 1194340802 | Epiphany Dermatology of Colorado, LLC | Dermatology | 2530 N 8th St Ste 205, Grand Junction, CO 81501-8858 | 2020-06-09 |
| 1861026189 | University Physicians Incorporated | Dermatology | 14305 E Alameda Ave Ste 225, Aurora, CO 80012-2549 | 2020-02-25 |
| 1316577323 | Medical Man Cave Pllc | Dermatology | 250 Steele Street, Suite 350, Denver, CO 80206-5242 | 2020-01-17 |
| 1124664248 | Allison Marquis | Dermatology | 4350 Limelight Ave Ste 205, Castle Rock, CO 80109-8034 | 2019-11-24 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1326521576 | Kaitlyn Laurel Pell | Dermatology | 125 Inverness Dr E Ste 340, Englewood, CO 80112-5139 | 2018-09-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.