Individual
KANESHA MONIQUE GILLYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
70 KNELLS RIDGE BLVD, CHESAPEAKE, VA 23320-6607
(757) 722-9961
(757) 251-5262
Mailing address
70 KNELLS RIDGE BLVD, CHESAPEAKE, VA 23320-6607
(757) 722-9961
(757) 251-5262
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001437
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
0103301453
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
344261
LA
213ES0103X
Foot & Ankle Surgery Podiatrist
692102
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001437
GA
Other
Enumeration date
07/07/2018
Last updated
05/12/2026
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