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
Mailing address1939 S Division Ave, Grand Rapids, MI 49507

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