Middlesborough is a city in Bell County, Kentucky, home to about 9,123 people across 7.4 square miles. Its ZIP code is 40965.
Homes sold for a median of $128 per square foot in the three months ending August 2026, a buyer’s market.
Each card is that ZIP code’s whole market, including any part outside Middlesborough. Seller’s market: under 4 months of supply; buyer’s market: over 6. Methodology
We’re writing up Middlesborough’s story and what everyday life there is like, for people thinking about moving in.
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| Nearest major airport | McGhee Tyson Airport (TYS)58 miles away |
|---|---|
| Nearest city of 250,000+ | Lexington-Fayette, KY106 miles away |
| Nearest city of 1 million+ | Chicago, IL418 miles away |
Straight-line distances from the center of Middlesborough; driving is longer.
Source: Airports from OurAirports (scheduled passenger service); city centers and populations from the U.S. Census Bureau.
Source: Members of Congress from the congress-legislators project; districts from the Census Bureau’s relationship files; governor and mayor from Wikidata.
Middlesborough had 9,405 residents in the 2020 census, down 9% since 2000.
It’s the 52nd largest of 553 towns in Kentucky by population.
Bell County grew from 15,701 residents in 1900 to 24,097 in 2020.
Bell County, 1900–2020
Source: U.S. Census Bureau decennial censuses (counties 1900–1990 from the Bureau’s historical county file).
Average highs peak around 85°F in summer, and winter lows average 23°F. About 54.6 inches of rain and melted snow fall in a typical year, with about 8 inches of snow.
Source: NOAA 1991–2020 climate normals, Tazewell, TN weather station (14 miles away).
6,692 jobs at 436 businesses in Bell County. The biggest industries by employees:
Source: U.S. Census Bureau County Business Patterns 2023 (private employers; jobs counted where people work).
121 doctors and other health care providers list an office in Middlesborough.
Nearest hospitals
Providers with an office here
| Primary care doctors | 18 |
|---|---|
| Specialist doctors | 14 |
| Dentists | 10 |
| Nurse practitioners and physician assistants | 40 |
| Mental health providers | 12 |
| Physical and occupational therapists | 14 |
| Optometrists | 7 |
| Chiropractors | 6 |
| Pharmacies | 14 |
Source: Hospitals from CMS Hospital General Information (ratings are CMS overall star ratings); straight-line distances; providers from the CMS National Plan and Provider Enumeration System (NPPES), by practice address and primary specialty.
Parks (2 nearby)
Grocery stores (2 nearby)
Libraries (1 nearby)
Counts are within about 2 miles of the center of town.
Source: Map data © OpenStreetMap contributors (openstreetmap.org/copyright), as mapped by volunteers; it can miss places or include closed ones.
Public schools here are run by Middlesboro Independent, Bell County. Check each district’s attendance zones for a specific address.
| School | Grades | Students | Type | Distance |
|---|---|---|---|---|
| Middlesboro Elementary SchoolMiddlesboro | Pre-K–4 | 514 | Public | 1.1 mi |
| Yellow Creek School CenterMiddlesboro | Pre-K–8 | 575 | Public | 2.0 mi |
| Middlesboro Middle SchoolMiddlesboro | 5–8 | 284 | Public | 1.5 mi |
| Middlesboro Group Home SchoolMiddlesboro | 6–12 | 2 | Alternative Education | 0.7 mi |
| Middlesboro Alternative SchoolMiddlesboro | 7–12 | 31 | Alternative Education | 0.7 mi |
| Middlesboro High SchoolMiddlesboro | 9–12 | 337 | Public | 1.5 mi |
| Cumberland Tech - Southeast CampusMiddlesboro | Ungraded | — | Career and Technical | 0.7 mi |
| Southeast TECHMiddlesboro | Ungraded | — | Career and Technical | 0.7 mi |
Source: U.S. Department of Education, NCES: Common Core of Data (2024-2025) for public schools. Listed by address; we don’t rate schools.
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Town boundaries don’t always match ZIP codes: a ZIP code can cross into neighboring towns, and a town can share a ZIP code with its neighbors. Facts describe the town itself; market figures describe whole ZIP codes.