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

Individual provider Internal Medicine Physician · NPI 1427299346

Dr. Kelly Ray Mutch, MD is an Internal Medicine Physician in LA Grande, Oregon. Practices as a sole proprietor. Licensed in Idaho and Oregon.

Licensed in
ID, OR
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

62462 Igo Ln
LA Grande, OR 97850-5147
Phone: (541) 963-9732
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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 · Licence 15980 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence M-4837 (ID)

Record details

NPI number1427299346
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 23, 2009
Last updated in NPPESMarch 23, 2009

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