NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Bodhi Kikue Kannon, M.D.

Psychiatry Physician in Fridley, MN · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740306240

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Bodhi Kikue Kannon
Credential M.D.
Sex Female
Practice address 480 Osborne Rd Ne Ste 260, Fridley, MN, 55432
Phone (763) 236-3800
Enumeration date Mar 22, 2007
Last updated in NPPES Mar 30, 2021

Taxonomy & licenses

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License MD00031094 (WA) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 61296 (MN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Bodhi Kannon?
The National Provider Identifier (NPI) for Bodhi Kannon is 1740306240, a Type 1 (individual) record in the CMS NPPES registry.
Where does Bodhi Kannon practice?
The practice location on file with NPPES is in Fridley, MN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-30.