EXHIBIT 23.3

                            CONSENT OF INDEPENDENT 
                         CERTIFIED PUBLIC ACCOUNTANTS
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The Board of Directors
Total Renal Care Holdings, Inc.:

We consent to incorporation herein by reference of our reports dated July 8, 
1994, relating to the consolidated statements of income, stockholders' equity, 
and cash flows of Total Renal Care Holdings, Inc. and subsidiaries for the year 
ended May 31, 1994, and the related financial statement schedule, which reports 
appear in the December 31, 1996 annual report on Form 10-K of Total Renal Care 
Holdings, Inc.

/s/ KPMG Peat Marwick LLP
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    KPMG Peat Marwick LLP

Seattle, Washington
February 24, 1998