Elkhorn Road begins at Egan Crest Drive in the northwestern corner of Las Vegas.

The road heads east to the Centennial Hills neighborhood where it forms a major intersection with Durango Drive near the RTC park and ride lot.

Route 95 and intersects with an HOV ramp completed in 2019, serving as an entrance to I-11/US 95 south and an exit from I-11/US 95 north.

[1] The road continues west from there through residential areas and past farms and ranches before intersecting Decatur Boulevard and entering North Las Vegas city limits.

The road runs through North Las Vegas and for 2 miles and passes through the Aliante community and the Aliante Casino and Hotel before ending at a dead end.