Four Hospitalized After Two Vehicle Crash on US 23 in Pikeville
Four people were taken to Pikeville Medical Center after a two vehicle collision on US 23 in front of the Double Kwik on South Mayo Trail on the evening of November 21, 2025. The crash caused traffic disruptions and highlights ongoing concerns about road safety and emergency response in rural Perry County.
On the evening of Friday, November 21, 2025, a two vehicle crash on US 23 in front of the Double Kwik on South Mayo Trail sent four people to Pikeville Medical Center. Police said three occupants of a car and the driver of a truck suffered injuries that did not appear to be life threatening. Witnesses at the scene told WYMT that the car pulled out in front of the truck before the collision.
Responding crews closed lanes as emergency personnel treated the injured and cleared the scene. Traffic was backed up in the southbound lane while northbound drivers were rerouted through the Double Kwik parking lot to bypass the working area. At the time of reporting that night, officials estimated traffic in the area would be affected for about 45 more minutes and asked drivers to use caution and plan for delays.
The incident underscores practical and public health concerns for Perry County residents. Local crashes on major corridors such as US 23 disrupt commutes, delay access to work and school, and can complicate emergency medical response times. In communities that rely on a single regional hospital, even non life threatening injuries can place added demand on emergency departments and ambulance services. Pikeville Medical Center received the patients, illustrating the central role of the hospital in responding to acute events across the county.
Beyond immediate traffic and medical response, crashes like this raise questions about road design and traffic control at busy commercial intersections. For residents who travel US 23 regularly, consistent congestion and limited detour options can increase the risk of secondary collisions and slow down routine access to care and services. Local officials and transportation planners may need to reassess signage, turning lanes, and speed management to reduce the potential for similar incidents.
For now, motorists are advised to expect delays near South Mayo Trail when traveling US 23 and to exercise caution when navigating commercial driveways and parking lot cross traffic. Community leaders and health providers face ongoing challenges in balancing safety, access, and resources across Perry County as they respond to incidents on heavily traveled local roads.
