| Doctor Name: | MR. HUSSEIN KALI AGTING |
| NPI Number: | 1033419726 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BSN, RN |
| License Number: | RN45851 |
| Business Practice Address: | 167 North Main Street Tuba City, AZ - 860450600 |
| Business Phone Number: | 9282832501 |
| Business Fax Number: | |
| Mailing Address: | Po Box 600, TUBA CITY |
| State: | AZ |
| Postal Code: | 860450600 |
| Phone Number: | 9282832501 |
| Fax Number: | |
| NPI Enumeration Date: | 10/27/2010 |
| NPI Last Update Date: | 10/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | RN45851 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |