Provider Demographics
NPI:1265320113
Name:KUKER, THOMAS FREDERICK
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:FREDERICK
Last Name:KUKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:TOM
Other - Middle Name:
Other - Last Name:KUKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7810 S 166TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-3106
Mailing Address - Country:US
Mailing Address - Phone:402-830-2943
Mailing Address - Fax:
Practice Address - Street 1:7810 S 166TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-3106
Practice Address - Country:US
Practice Address - Phone:402-830-2943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant