MEDICARE: K&R SHUTTLE SERVICES LLC

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	172A00000X	Driver

General Provider Information

NPI Number	:	1558213538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K&R SHUTTLE SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 5741
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83303-5741
Country	:	US
Telephone Number	:	800-275-8777
Fax Number	:

Provider Business Practice Location Address
First Line	:	645 FAWNBROOK CT APT 249
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-3538
Country	:	US
Telephone Number	:	208-404-7157
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RUBEN D MCDANIEL
Credential	:
Telephone Number	:	208-404-7157

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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