Kentucky Route 74

Kentucky Route 74 (KY 74) is a 16.753-mile state highway in Bell County, Kentucky that runs from Tennessee State Route 90 at the Kentucky-Tennessee border in the community of Pruden to U.S. Route 25E in Middlesboro.

Truck route
A truck route exists to route trucks around downtown Middlesboro. It begins at the intersection of U.S. Route 25E and 74 and follows US-25E for just over a mile and turns onto Kentucky Route 441 and follows 441 from US 25E on the northside of Middlesboro to back mainline 74.