Healthcare Provider Details

I. General information

NPI: 1427084060
Provider Name (Legal Business Name): KIRK LEROY CREWS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 6TH AVE E.
SUPERIOR MT
59872
US

IV. Provider business mailing address

P.O. BOX 66
SUPERIOR MT
59872
US

V. Phone/Fax

Practice location:
  • Phone: 406-822-4803
  • Fax: 406-822-3848
Mailing address:
  • Phone: 406-822-4803
  • Fax: 406-822-3848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number8219
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: