Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tristan J Kuckelman, DO

Individual provider Pediatrics Physician · NPI 1588409205

Dr. Tristan J Kuckelman, DO is a Pediatrics Physician in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2024.

Licensed in
NE
In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

42ND And Emile St
Omaha, NE 68198-0001
Phone: (402) 559-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 10095 (NE)

Record details

NPI number1588409205
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

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