Individual
MRS. KAYLA C FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
280 SMITH AVE N STE 101, SAINT PAUL, MN 55102-2420
(651) 291-9000
(651) 291-8894
Mailing address
280 SMITH AVE N STE 101, SAINT PAUL, MN 55102-2420
(651) 291-9000
(651) 291-8894
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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