MEDICARE: KIRK LEROY CREWS M.D.

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	207Q00000X	Family Medicine Physician	8219	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427084060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRK LEROY CREWS M.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 66
Second Line	:
City	:	SUPERIOR
State	:	MT
Zip	:	59872
Country	:	US
Telephone Number	:	406-822-4803
Fax Number	:	406-822-3848

Provider Business Practice Location Address
First Line	:	1208 6TH AVE E.
Second Line	:
City	:	SUPERIOR
State	:	MT
Zip	:	59872
Country	:	US
Telephone Number	:	406-822-4803
Fax Number	:	406-822-3848

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

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	10/28/2025

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