| Elk River to Pell City (Alabama) | 900.77 mi (1,449.65 km) |
| Elk River to Pella (Iowa) | 273.22 mi (439.70 km) |
| Elk River to Pembroke Pines (Florida) | 1,522.75 mi (2,450.63 km) |
| Elk River to Pendleton (Oregon) | 1,218.03 mi (1,960.23 km) |
| Elk River to Pensacola (Florida) | 1,085.06 mi (1,746.23 km) |
| Elk River to Peoria (Arizona) | 1,272.13 mi (2,047.29 km) |
| Elk River to Peoria (Illinois) | 373.96 mi (601.83 km) |
| Elk River to Perris (California) | 1,482.63 mi (2,386.05 km) |
| Elk River to Perry (Georgia) | 1,032.25 mi (1,661.25 km) |
| Elk River to Perry Hall (Maryland) | 961.05 mi (1,546.66 km) |
| Elk River to Perrysburg (Ohio) | 562.21 mi (904.79 km) |
| Elk River to Perth Amboy (New Jersey) | 1,028.20 mi (1,654.73 km) |
| Elk River to Peru (Indiana) | 492.46 mi (792.53 km) |
| Elk River to Petal (Mississippi) | 993.88 mi (1,599.49 km) |
| Elk River to Petaluma (California) | 1,565.22 mi (2,518.98 km) |
