Interview thoughts:
This school might be a hidden gem. They have some faculty in leadership positions in some high places (the dean is the president-elect of the AOA and led the ACGME-AOA merger). The Coal Building is fantastic, and has all the latest and greatest technology. If you don't like being in a small town (Pikeville actually isn't that small of a town) you can get through your first two years, and do your rotations so you "never" have to come back. They have an outstanding affiliation with a large trama I hospital down the road, which many osteopathic schools don't have.
This school is very mission oriented, so include something about helping the underserved population in your application/interview. Because they are so mission oriented, they sacrifice accepting applicants with higher stats and grades. I got the sense that they are still trying to fulfill this "helping the underserved" mission, but they may make a push to increase their stats. They want to become a higher quality medical school, and have the right people in leadership positions here. As a side note, I was told they have some really great professors, as in top professors in the country, and some professors that aren't so great.
Overall I left with positive outlook about this school.