K.M.Balakrishnan started his official carrier in Kerala State Revenue Department. He was a native of Thalassery. He played an important role in the implementation of the Land Reforms Act. While working as Additional Secretary, Land Board, he was appointed as Private Secretary to Health Minister, N.K. Balakrishnan. It was during this period, 'pay wards' were established in Thalassery Hospital, District hospitals and Medical colleges in Kerala. He had served as District Collector Calicut for a very long period. K.M.Balakrishnan who also made significant contribution to the Co-Operative Sector retired from his service as Registrar of Co-Operatives. After retirement, he also served as Managing Director of Kerala State Co-Operative bank.