4 cities
| City | Rank | 2026 Pop. ↓ | 2020 Pop. | Annual Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Pikeville | 1 | 7,186 | 7,726 | -1.24% | 346 | 21 | City |
| Coal Run Village | 2 | 1,563 | 1,662 | -1.01% | 179 | 9 | City |
| Elkhorn City | 3 | 950 | 1,034 | -1.45% | 121 | 8 | City |
| Forest Hills | 4 | 447 | 437 | 0.45% | 1,547 | 0 | City |
Pikeville is the largest city in Pike County, with a population of 7,186.
Forest Hills is the smallest city in Pike County, with a population of 447.
There are 4 cities in Pike County, Kentucky.