KY 191 begins at an intersection with KY 15 in Campton, within Wolfe County. It travels to the northeast and immediately curves to the east-northeast before it intersects the western terminus of KY 2490. It curves to the north and intersects the eastern terminus of KY 1653 on a curve back to the east-northeast. It crossesSwift Camp Creek. Immediately after this is an intersection with KY 2491. One block later, it has a second intersection with KY 2490. As soon as KY 191 leaves the city limits, it curves to the northeast. It curves to the east-southeast and intersects the southern terminus of KY 746. Then, it starts paralleling the Bert T. Combs Mountain Parkway. It curves to the northeast and has a partial interchange with the parkway. The highway begins curving to the southeast and crosses over Stillwater Creek. Then, after it begins curving to the north-northeast, it intersects the northern terminus of KY 1812. In Trent, it intersects the southern terminus of KY 3356. KY 191 curves to a more easterly direction and then curves back to the north-northeast and crosses over Lacy Creek. It intersects KY 1010. The two highways begin a concurrency. They cross over the Red River on the Hazel Green Academy Mountaineer Bridge and enterHazel Green. At Broadway Street, KY 1010 turns off, while KY 191 continues to the north-northeast. One block later, it intersects the southern terminus of KY 203. KY 191 turns right and heads to the southeast before curving to a more easterly direction. In Daysboro, it intersects the northern terminus of KY 1419. It curves to the southeast and then travels through Insko and intersects KY 205. The two highway travel concurrently to the south-southeast. They curve to the southeast and enter Helechawa, where they begin paralleling the Bert T. Combs Mountain Parkway. They have an interchange with the parkway. Less than later, KY 205 splits off, while KY 191 continues to the southeast. A short distance after leaving Helechawa, the highway enters Morgan County.
Morgan County
KY 191 continues to the southeast and crosses over State Road Fork twice before enteringAdele. It curves to the northeast and intersects the western terminus of KY 134. It winds its way to the north and northeast and travels through Cannel City and Caney. In Caney, it intersects the southern terminus of KY 1000. The highway crosses over Caney Creek and curves to the north-northwest. It intersects the western terminus of KY 1162. In Stacy Fork, it intersects the northern terminus of KY 844. It has a second crossing of Caney Creek. Then, it travels through Malone and has a third crossing of Caney Creek. Then, it enters West Liberty. There, it travels just north of Morgan County High School and meets its eastern terminus, an intersection with U.S. Route 460. Here, the roadway continues as the southern terminus of KY 2498.
