MEDICARE: DR. THOMAS V PALMA L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	2002030473	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	201212718	OTHER	MO	LUMENOS
2	2176688	OTHER	MO	CIGNA
3	2244494002	OTHER	MO	UNITED HEALTHCARE
4	32036026	OTHER	MO	BC&BS - KC
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932272929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS V PALMA L.P.

Provider Business Mailing Address
First Line	:	221 W 48TH ST
Second Line	:	APT 903
City	:	KANSAS CITY
State	:	MO
Zip	:	64112-3159
Country	:	US
Telephone Number	:	816-645-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 W 48TH ST APT 903
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64112-3159
Country	:	US
Telephone Number	:	816-645-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	03/29/2021

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