4 cities
| City | Rank | 2025 Pop. ↓ | 2020 Pop. | Annual Change | Density | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Pikeville | 1 | 7,276 | 7,726 | -1.22% | 350 | 21 | City |
| Coal Run Village | 2 | 1,579 | 1,662 | -1.07% | 180 | 9 | City |
| Elkhorn City | 3 | 964 | 1,034 | -1.43% | 123 | 8 | City |
| Forest Hills | 4 | 445 | 437 | 0.23% | 1,540 | 0 | City |
Pikeville is the largest city in Pike County, with a population of 7,276.
Forest Hills is the smallest city in Pike County, with a population of 445.
There are 4 cities in Pike County, Kentucky.