Individual provider · Type 1 NPI

Bodhi Kikue Kannon, MD

Psychiatry Physician · Fridley, MN

NPI number 1740306240 Active

Practice location

480 Osborne Rd NE Ste 260
Fridley, MN 55432-2866

Call (763) 236-3800 Map

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XMD00031094 (WA)
Psychiatry Physician Primary 2084P0800X61296 (MN)

Psychiatry Physician: A Psychiatrist 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 la…

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About NPI 1740306240

Bodhi Kikue Kannon, MD's National Provider Identifier is 1740306240, issued on Mar 22, 2007. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Fridley, MN. The record was last updated on Mar 30, 2021.