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.

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.

The entire route is in Bell County.

This Kentucky road or road transport-related article is a stub.