| State: | KY |
| Type: | KY |
| Route: | 74 |
| Map Custom: | yes |
| Map Notes: | KY 49 highlighted in red |
| Maint: | KYTC |
| Length Mi: | 16.753 |
| Length Ref: | [1] |
| Direction A: | West |
| Terminus A: | at the Tennessee state line in Pruden |
| Direction B: | East |
| Terminus B: | in Middlesboro |
| Counties: | Bell |
| Previous Type: | KY |
| Previous Route: | 73 |
| Next Type: | I |
| Next Route: | 75 |
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.