Pikeville, KY has a population of 7,266 and is the 5,046th largest city in the United States. The population density is 333 per sq mi which is 207% higher than the Kentucky average and 267% higher than the national average. The median age in Pikeville is 35 which is approximately 10% lower than the Kentucky average of 39. In Pikeville, 52% of the population over 15 years of age are married, 97% speak English and 1% speak Spanish. 71% of Pikeville residents were born in Kentucky, 26% were born out of state, 0% were born outside of the United States and 3% were foreign born.