Bodhi Kikue Kannon is a Fridley, Minnesota based psychiatrist with 36 years of experience in Psychiatry. She completed her graduation from University Of Washington School Of Medicine in 1989. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Bodhi Kikue Kannon is 61296 for Psychiatry in Minnesota. Her current practice location is 480 Osborne Rd Ne Ste 260, Fridley. Patients can reach her at 763-236-3800. Bodhi Kikue Kannon is M.D. in Psychiatry and her NPI number (Unique professional ID assigned by NPPES) is 1740306240.
Bodhi Kikue Kannon specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Profile:
Bodhi Kikue Kannon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Bodhi Kikue Kannon |
| Specialization: | Psychiatry |
| Gender: | Female |
| Credentials: | M.D. |
| Experience: | 36+ years |
| Medical School Attended: | University Of Washington School Of Medicine |
| Graduation Year: | 1989 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 480 Osborne Rd Ne Ste 260, Fridley,
Minnesota, 55432-2866 |
| Phone: | 763-236-3800 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0547249443 |
| Enrollment ID: | I20180323000581 |
| NPI Number: | 1740306240 |
| NPI Enumeration Date: | 22 Mar, 2007 |
| NPI Last Update On: | 30 Mar, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bodhi Kikue Kannon are as mentioned below.
| License Number | Specialization | State | Status | |
| 61296 | Psychiatry | Minnesota | Primary | |
| MD00031094 | Psychiatry | Washington | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Bodhi Kikue Kannon is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Allina Health System (4587573613) | 2758 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bodhi Kikue Kannon
2925 Chicago Ave,
Minneapolis, Minnesota |
| Zip: | 55407-1321 |
| Phone Number: | 612-262-9000 |
Patients can reach Bodhi Kikue Kannon at
480 Osborne Rd Ne Ste 260, Fridley, Minnesota or can
call to book an appointment on 763-236-3800.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.