DR. KELLY RAY MUTCH M.D. NPI 1427299346

NPI Information

  • NPI: 1427299346
  • Provider Name: DR. KELLY RAY MUTCH, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 62462 IGO LN
    LA GRANDE, OR
    ZIP 97850
  • Phone: (541) 963-9732

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NPI Details

DR. Kelly Ray Mutch, M.D. is an internal medicine in La Grande, OR. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Kelly Ray Mutch, M.D. NPI is 1427299346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

62462 IGO LN
LA GRANDE, OR
ZIP 97850-147
Phone: (541) 963-9732

The enumeration date for this NPI number is 3/23/2009 and was last updated on 3/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineM-4837IDAHONo
2207R00000XInternal Medicine15980OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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