Perry County, Kentucky: History
The area presently bounded by Kentucky state lines was a part of the U.S. State of Virginia, known as Kentucky County when the British colonies separated themselves in the American Revolutionary War. In 1780, Kentucky County was divided into three counties: Fayette, Jefferson, and Lincoln. In 1791, this area was separated into the State of Kentucky; it became effective on June 1, 1792. From that time, the original three counties were divided several times. By 1820, the present Perry County was formed from portions of Floyd and Clay counties. In 1824 the first post office was built on the north fork of the Kentucky River, and was called the Perry Post Office. The first settlers around this area were Elijah Combs, his seven brothers and daughter Jade Miller.
The county's economy has long been based on logging and mining coal.
Perry County is home to Hazard Community and Technical College. It is also home to the Hazard ARH Regional Medical Center, a not-for-profit health system operating 10 hospitals, multi-specialty physician practices, home health agencies, HomeCare Stores and retail pharmacies. It is the largest provider of care and single largest employer in southeastern Kentucky and the third largest private employer in southern West Virginia.