EXHIBIT 23.2
 
                            CONSENT OF INDEPENDENT
                         CERTIFIED PUBLIC ACCOUNTANTS
 
The Board of Directors
Total Renal Care Holdings, Inc.:
 
  We consent to the use of our reports on the consolidated financial
statements and related financial statement schedule of Total Renal Care
Holdings, Inc. and subsidiaries incorporated herein by reference and to the
reference to our firm under the heading "Experts" in the prospectus.
 
                                          KPMG Peat Marwick LLP
 
Seattle, Washington
   
August 14, 1997