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

Individual provider Psychiatry Physician · NPI 1740306240

Bodhi Kikue Kannon, MD is a Psychiatry in Fridley, Minnesota. Graduated from University of Washington School of Medicine in 1989, 37 years ago. Practices with Allina Health System, a 3,867-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Washington.

Years since qualifying
37
Trained at
University of Washington School of Medicine
Licensed in
MN, WA
In the registry since
2007
Specialties on file
2
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

480 Osborne Rd NE Ste 260
Fridley, MN 55432-2866
Phone: (763) 236-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 61296 (MN)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD00031094 (WA)

Record details

NPI number1740306240
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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