Individual provider · Type 1 NPI

Kathryn Detore Oswalt, PA-C

Physician Assistant · Tuscaloosa, AL

NPI number 1407643760 Active

Practice location

4960 Rice Mine Rd NE Ste 40
Tuscaloosa, AL 35406-3136

Fax (205) 750-8612

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	2633 (AL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407643760

Kathryn Detore Oswalt, PA-C's National Provider Identifier is 1407643760, issued on Apr 21, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tuscaloosa, AL. The record was last updated on Jan 17, 2026.