Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Detore Oswalt, PA-C

Individual provider Physician Assistant · NPI 1407643760

Kathryn Detore Oswalt, PA-C is a Physician Assistant in Tuscaloosa, Alabama. Qualified in 2025, 1 year ago. Practices with Robert J Bentley LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
1
Licensed in
AL
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4960 Rice Mine Rd NE Ste 40
Tuscaloosa, AL 35406-3136
Phone: (205) 759-1519
Fax: (205) 750-8612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2633 (AL)

Record details

NPI number1407643760
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 21, 2025
Last updated in NPPESJanuary 17, 2026
Certification dateJanuary 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Robert J Bentley Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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