Organization
LIGHTYEAR HEALTH CLINIC CALIFORNIA, PC
Active
Other names
Lightyear Health, Nicole Kelleher, MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
VAIBHAV RIKHYE (VICE PRESIDENT OPERATIONS)
(888) 380-0988
Entity
Organization
Contact information
Practice address
2950 BUSKIRK AVE STE 300, WALNUT CREEK, CA 94597-6900
(888) 380-0988
(289) 236-3022
Mailing address
2950 BUSKIRK AVE STE 300, WALNUT CREEK, CA 94597-6900
(888) 380-0988
(289) 236-3022
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
10/01/2020
Last updated
02/12/2024
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