There are
654 mi
from Lexington, KY to Altoona, IA
That's the driving distance. It would take 11 hours 56 mins to go from Lexington, Kentucky to Altoona, Iowa.
The flight distance (direct flight from Lexington, KY to Altoona, IA) is 536.78 mi.
654 mi = 1,053.12 kms