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

State Line Medical Group LLC

Organization Internal Medicine Physician · NPI 1679529853

State Line Medical Group LLC is an Internal Medicine Physician in Kansas City, Missouri. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7611 State Line Rd Ste 103
Kansas City, MO 64114-6801
Phone: (816) 333-9886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1679529853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ken Washington — Vp · (816) 333-9886
NPI enumeratedMay 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address7611 State Line Rd, Suite 103, Kansas City, MO 64114-6801

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