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Kentucky›Letcher County

MillstoneKY

Today 317 people live in this town, first settled in 1890.

Is Millstone a good place to live?

No town among the 120 in Kentucky we compare has a lower value of a typical home than Millstone. Millstone has fewer than 1,000 residents, too few for fair grades; the figures below are still real.

Small town

317 people, and everyone knows the way

In a town this size, neighbors are the best guide. Ask them anything.

Nearby towns
Getting set up

Moving to Millstone: who provides what

Millstone is unincorporated, so Letcher County and regional agencies provide most services.

PowerKentucky Power15.9¢/kWh · EIA 2025HIFLD · EIA
WaterLetcher County Water DistrictNo health-based violations in 5 years · EPAEPA
Internet1 providers100% of addresses get 100/20 MbpsFCC
Trash & county servicesLetcher CountyLetcher County provides services here
SchoolsLetcher County School DistrictWhich school depends on your addressNCES
Register to voteOnlineIn Kentucky you can register online until 29 days before Election Day, in person until 29 days before Election Day, or by mail (postmarked 29 days before).vote.gov
Who runs elections hereLetcher County ClerkLetcher County; contacts on the Handbook page.FVAP, Aug 2015
ZIP code4183841838 100%Census 2020

EPA SDWIS (Oct 9, 2026) · HIFLD + EIA-861 2025 · Census 2020 ZCTAs · NCES 2024–25 · registration: vote.gov, updated Nov 18, 2024.

The data

Ordered by what stands out in Millstone.

Housing

Millstone stands out in Kentucky and nationally, with fewer of its households who are owner-occupiers

Values fell 8.9% in the year to September 2026. The typical home value in Millstone is about $57,000, down 8.9% in a year, 75% below the Kentucky typical home.

$57KZillow home value

Typical home value

Millstone$57K
Kentucky$231K
−8.9%
value change, 1 year

Census ACS, 2020–24 · Zillow Home Value Index · Redfin Data Center

Natural hazards

Very high risk in Millstone, with inland flooding at the top

Federal aid has come to Millstone households in 6 declared disasters; the latest was in 2025. FEMA expects more storm and flood damage locally than in 90% of U.S. communities. 87% of the town’s expected losses from natural hazards come from inland flooding.

90risk score of 100
FEMA risk score
90Very high riskLowerHigher
Inland flooding
6
federal disasters paid out here

FEMA disaster declarations and aid · FEMA National Risk Index · OpenFEMA

Climate

Millstone: four seasons and pleasant summers

A winter brings about 17 inches of snow, with January nights at 25° and July afternoons at 85°.

17″snow a winter

Typical low → high °F

Winter27–47°
Spring42–68°
Summer61–84°
Fall44–69°
Oct 22
typical first frost
Apr 21
typical last frost
+0.5°
vs. the 20th-century average

NOAA U.S. Climate Normals, 1991–2020

Health

Compared with most of Kentucky and the rest of the country, more of Millstone’s adults have been diagnosed with depression

Millstone: just over a quarter of adults have diabetes; what’s more, of the 142 Kentucky towns we compare, none has a higher share of adults who have high blood pressure than Millstone. What’s more, 46% of Millstone adults have obesity, above both Kentucky’s towns (39%) and U.S. towns (35%). CDC measures, 31 in all: Millstone beats Kentucky on 2 and trails on 23.

MillstoneKentucky townsU.S. towns
Fair or poor health (CDC PLACES)46%23%19%
Smoke cigarettes (CDC PLACES)33%18%14%
Diabetes (CDC PLACES)26%13%12%
Frequent physical distress (CDC PLACES)30%15%14%
31 measures vs. Kentucky
2 better6 too close to call23 worse
What stands outMillstoneKY
Fewer binge drinkers9.5%14.2%
More adults treating high blood pressure86.9%81.3%
More adults with COPD26.8%10.2%
Whitesburg ARH Hospital
4.9 mi away · emergency room
3 of 3
care shortages: primary care, dental, mental health

CDC PLACES 2025 · modeled estimates for adults · CMS · HRSA

Keep exploring

Everything we know about Millstone

14pages on Millstone
After high school

Colleges nearby

1 within 15 miles of the center of Millstone

About Millstone

Unincorporated community in Kentucky, United States

Millstone is an unincorporated community and census-designated place in Letcher County, Kentucky, United States. As of the 2020 census, Millstone had a population of 92. Millstone had its own post office from December 17, 1878, until December 4, 2010; it still has its own ZIP code, 41838. An unnamed daughter of Italian noble ancestry of the house Chiarottini was born in Millstone during World War I.

From Wikipedia, licensed CC BY-SA 4.0 · facts via Wikidata (CC0)

Area
0.2 sq mi
Elevation
1,240 ft
ZIP code
41838

Questions about Millstone

Short answers, built from the data on this page.

Is Millstone, KY a good place to live?

Millstone has fewer than 1,000 residents, too few for fair grades; the figures below are still real.