Individual
KATHRYN DETORE OSWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4960 RICE MINE RD NE STE 40, TUSCALOOSA, AL 35406-3136
(205) 759-1519
(205) 750-8612
Mailing address
4960 RICE MINE RD NE STE 40, TUSCALOOSA, AL 35406-3136
(205) 759-1519
(205) 750-8612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2633
AL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
01/17/2026
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