Provider Demographics
NPI:1386526424
Name:BURNETT, WILLIAM KIRKLAND JR (CNA)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:KIRKLAND
Last Name:BURNETT
Suffix:JR
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8818 SHERMAN MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-8844
Mailing Address - Country:US
Mailing Address - Phone:323-898-3556
Mailing Address - Fax:
Practice Address - Street 1:8818 SHERMAN MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-8844
Practice Address - Country:US
Practice Address - Phone:323-898-3556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONA.008338523747P1801X
WY567133747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant