Individual
JACKSON GEORGE UNTERINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 447-8786
(502) 447-8786
Mailing address
9152 TAYLORSVILLE RD # 276, LOUISVILLE, KY 40299-1752
(502) 447-8786
(502) 447-8623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2020011736
MO
2085R0202X
Diagnostic Radiology Physician
Primary
60448
KY
2085R0204X
Vascular & Interventional Radiology Physician
60448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300110382
—
IN
05
—
7101050170
—
KY
Enumeration date
04/09/2019
Last updated
09/29/2025
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