Paintsville, KY has a population of 4,246 and is the 7,168th largest city in the United States. The population density is 645 per sq mi which is 495% higher than the Kentucky average and 612% higher than the national average. The median age in Paintsville is 43 which is approximately 12% higher than the Kentucky average of 39. In Paintsville, 56% of the population over 15 years of age are married, 95% speak English and 2% speak Spanish. 73% of Paintsville residents were born in Kentucky, 24% were born out of state, 1% were born outside of the United States and 3% were foreign born.