Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kerby Keylon Killingham

Individual provider Mental Health Counselor · NPI 1750893210

Kerby Keylon Killingham is a Mental Health Counselor in Grand Rapids, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

1501 Widdicomb Ave NW
Grand Rapids, MI 49504-3048
Phone: (616) 856-0037
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1939 S Division Ave, Grand Rapids, MI 49507 — (616) 247-3815

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6401017677 (MI)

Record details

NPI number1750893210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 24, 2017
Last updated in NPPESJanuary 14, 2020
Certification dateJanuary 14, 2020

Other providers in Grand Rapids